Mitchell, Mark Wayne

Mitchell, Mark Wayne is an individual health care provider with primary practice located at 6731 Madison St , New Port Richey FL 34652-1928. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mitchell, Mark Wayne can be contacted via phone (727) 842-5180.

Contact Information

Primary practice address
6731 Madison St New Port Richey FL 34652-1928
Phone: (727) 842-5180
Fax: (727) 846-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN10802 Florida

Profile Details

NPI number 1386634343
LBN Legal business name Mitchell, Mark Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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